Exclusively Endoscopic Surgery for Juvenile Nasopharyngeal Angiofibroma

Author:

Andrade Nilvano A.12,Pinto José Antonio134,de Oliveira Nóbrega Mônica13,Aguiar José Estelita P.12,Aguiar Tâmara Ferraro A.P.12,Vinhaes Ériko S.A.12

Affiliation:

1. Salvador, Izabel, and São Paulo, Brazil

2. Department of Otolaryngology and Head and Neck Surgery, Santa Izabel Hospital, Santa Casa de Misericórdia da Bahia–Hospital Santa Izabel

3. Núcleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo, Cabeça e Pescoço de São Paulo

4. Department of Otolaryngology (Dr Pinto), Centre at Hospital e Maternidade São Camilo–Pompéia, São Paulo

Abstract

OBJECTIVE: To present the indications of nasal endoscopic surgery for treating juvenile nasopharyngeal angiofibroma (JNA). STUDY DESIGN: Chart review. MATERIALS AND METHODS: Twelve patients underwent nasal endoscopic surgery exclusively to resect JNA from January 2001 to June 2004. According to the classification of Andrews et al, eight patients were stage I and four patients were stage II. RESULTS: The follow-up was between five and 42 months, and no patient has shown a residual tumor or recurrence to date. CONCLUSION: In JNA stages I and II, the endoscopic approach was effective without preoperative arterial embolization. There were no residual tumors or recurrence in this study. SIGNIFICANCE: It seems to be appropriate to reevaluate the surgical limits of endoscopic surgery for resecting JNA.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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